Family Practice Vol. 19, No. 5, 489-495
© Oxford University Press 2002
Health Services Research |
What dimensions underlie patient responses to the General Practice Assessment Survey? A factor analytic study
National Primary Care Research and Development Centre, University of Manchester, Manchester, UK.
Dr Peter Bower, NPCRDC, 5th floor, Williamson Building, University of Manchester, Manchester M13 9PL, UK; E-mail: peter.bower{at}man.ac.uk
Background. Patient self-report measures of primary care are being used increasingly for quality assessment and improvement. The General Practice Assessment Survey (GPAS) is a widely used measure. However, it is important that the measures used are valid and interpretable. Factor analysis is a useful method to assist in validation.
Objective. The aim of this study was to determine the underlying structure of responses to the GPAS.
Methods. Factor analysis of data from a number of patient surveys was carried out using the GPAS in primary care.
Results. Analysis indicated that three factors underlie responses to the GPAS. These were named ‘access’, ‘patient-centredness’ and ‘nursing’. These factors were replicated in a second sample of GPAS survey data.
Conclusion. Responses to the GPAS can best be summarized in terms of three underlying factors, which supports previous conceptual work. These factors may also have utility for reducing the overall length of the GPAS, and in reducing the need for multiple hypothesis testing associated with the use of the original scales.
Keywords. General practice, General Practice Assessment Survey, outcome measure, patients.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  U. W. Jayasinghe, J. Proudfoot, C. Holton, G. P. Davies, C. Amoroso, T. Bubner, J. Beilby, and M. F. Harris Chronically ill Australians' satisfaction with accessibility and patient-centredness Int. J. Qual. Health Care, April 1, 2008; 20(2): 105 - 114. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Hann, P. Bower, S. Campbell, M. Marshall, and D. Reeves The association between culture, climate and quality of care in primary health care teams Fam. Pract., August 1, 2007; 24(4): 323 - 329. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Haggerty, F. Burge, J.-F. Levesque, D. Gass, R. Pineault, M.-D. Beaulieu, and D. Santor Operational Definitions of Attributes of Primary Health Care: Consensus Among Canadian Experts Ann. Fam. Med, July 1, 2007; 5(4): 336 - 344. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. G Evans, A. Edwards, S. Evans, B. Elwyn, and G. Elwyn Assessing the practising physician using patient surveys: a systematic review of instruments and feedback methods Fam. Pract., April 1, 2007; 24(2): 117 - 127. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Howie, D Heaney, and M Maxwell Quality, core values and the general practice consultation: issues of definition, measurement and delivery Fam. Pract., August 1, 2004; 21(4): 458 - 468. [Full Text] [PDF]
|
|
|
|
 |
|
 P Bower, S Campbell, C Bojke, and B Sibbald Team structure, team climate and the quality of care in primary care: an observational study Qual. Saf. Health Care, August 1, 2003; 12(4): 273 - 279. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Bower, M. Roland, J. Campbell, and N. Mead Setting standards based on patients' views on access and continuity: secondary analysis of data from the general practice assessment survey BMJ, February 1, 2003; 326(7383): 258 - 258. [Abstract] [Full Text] [PDF]
|
|